{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:15:47Z","timestamp":1792782947021,"version":"4.5.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004063","name":"Knut och Alice Wallenbergs Stiftelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004063","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Region V\u00e4sterbotten"},{"DOI":"10.13039\/501100003793","name":"Hj\u00e4rt-Lungfonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003793","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008590","name":"STROKE-Riksf\u00f6rbundet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008590","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008738","name":"Jeanssons Stiftelser","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007687","name":"Svenska L\u00e4kares\u00e4llskapet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007687","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The research foundation for neurological research at the University Hospital of Northern Sweden"},{"name":"The research foundation for medical research at Ume\u00e5 University","id":[{"id":"https:\/\/ror.org\/05kb8h459","id-type":"ROR","asserted-by":"crossref"}]},{"name":"The Northern Swedish Stroke fund"},{"name":"Umea University","id":[{"id":"https:\/\/ror.org\/05kb8h459","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neuroradiology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We aimed to validate the prognostic ability and assess interrater reliability of a recently suggested measurement-based definition of near-occlusion with full collapse (distal ICA diameter\u2009\u2264\u20092.0\u00a0mm and\/or ICA ratio\u2009\u2264\u20090.42). 118 consecutive patients with symptomatic near-occlusion were prospectively included and assessed on computed tomography angiography by 2 blinded observers, 26 (22%) had full collapse. At 2\u00a0days after presenting event, the risk of preoperative stroke was 3% for without full collapse and 16% for with full collapse (p\u2009=\u20090.01). At 28\u00a0days, this risk was 16% for without full collapse and 22% for with full collapse (p\u2009=\u20090.22). Interrater reliability was perfect (kappa 1.0). Thus, near-occlusion with full collapse should be defined as distal ICA\u2009\u2264\u20092.0\u00a0mm and\/or ICA ratio\u2009\u2264\u20090.42 in order to detect cases with very high risk of early stroke recurrence.<\/jats:p>","DOI":"10.1007\/s00234-024-03283-5","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T22:01:42Z","timestamp":1704751302000},"page":"349-352","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["High risk of early recurrent stroke in patients with near-occlusion with full collapse of the internal carotid artery"],"prefix":"10.1007","volume":"66","author":[{"given":"Alexander","family":"Henze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan J.","family":"Fox","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5317-4563","authenticated-orcid":false,"given":"Elias","family":"Johansson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"3283_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.3174\/ajnr.A4432","volume":"37","author":"E Johansson","year":"2016","unstructured":"Johansson E, Fox AJ (2016) Carotid near-occlusion: A comprehensive review. Part 1: Definition, terminology and diagnosis. AJNR 37:2\u201310. https:\/\/doi.org\/10.3174\/ajnr.A4432","journal-title":"AJNR"},{"key":"3283_CR2","doi-asserted-by":"publisher","first-page":"200","DOI":"10.3174\/ajnr.A4429","volume":"37","author":"E Johansson","year":"2016","unstructured":"Johansson E, Fox AJ (2016) Carotid near-occlusion: A comprehensive review. Part 2: Prognosis and treatment, pathophysiology, confusions, and areas for improvement. AJNR 37:200\u2013204. https:\/\/doi.org\/10.3174\/ajnr.A4429","journal-title":"AJNR"},{"key":"3283_CR3","first-page":"2086","volume":"26","author":"AJ Fox","year":"2005","unstructured":"Fox AJ, Eliasziw M, Rothwell PM et al (2005) Identification, prognosis, and management of patients with carotid artery near occlusion. AJNR 26:2086\u20132094","journal-title":"AJNR"},{"key":"3283_CR4","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.ejvs.2022.04.011","volume":"65","author":"R Naylor","year":"2023","unstructured":"Naylor R, Rantner B, Ancetti S et al (2023) European Society for Vascular Surgery (ESVS) 2023 clinical practice guidelines on the management of atherosclerotic carotid and vertebral artery disease. EJVES 65:7\u2013111. https:\/\/doi.org\/10.1016\/j.ejvs.2022.04.011","journal-title":"EJVES"},{"key":"3283_CR5","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1111\/joim.12318","volume":"277","author":"E Johansson","year":"2015","unstructured":"Johansson E, \u00d6hman K, Wester P (2015) Symptomatic carotid near-occlusion with full collapse might cause a very high risk of stroke. J Intern Med 277:615\u2013623. https:\/\/doi.org\/10.1111\/joim.12318","journal-title":"J Intern Med"},{"key":"3283_CR6","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1007\/s00415-019-09605-5","volume":"267","author":"T Gu","year":"2020","unstructured":"Gu T, Aviv RI, Fox AJ, Johansson E (2020) Symptomatic carotid near-occlusion causes a high risk of recurrent ipsilateral ischemic stroke. J Neurology 267:522\u2013530. https:\/\/doi.org\/10.1007\/s00415-019-09605-5","journal-title":"J Neurology"},{"key":"3283_CR7","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1177\/1747493017714177","volume":"12","author":"A Garc\u00eda-Pastor","year":"2017","unstructured":"Garc\u00eda-Pastor A, Gil-N\u00fa\u00f1ez A, Ram\u00edrez-Moreno JM et al (2017) Early risk of recurrent stroke in patients with symptomatic carotid near-occlusion: Results from CAOS, a multicenter registry study. Int J Stroke 12:713\u2013719. https:\/\/doi.org\/10.1177\/1747493017714177","journal-title":"Int J Stroke"},{"key":"3283_CR8","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/s00234-021-02728-5","volume":"64","author":"E Johansson","year":"2022","unstructured":"Johansson E, Gu T, Fox AJ (2022) Defining carotid near-occlusion with full collapse: A pooled analysis. Neuroradiology 64:59\u201367. https:\/\/doi.org\/10.1007\/s00234-021-02728-5","journal-title":"Neuroradiology"},{"key":"3283_CR9","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1007\/s00234-019-02309-7","volume":"62","author":"E Johansson","year":"2020","unstructured":"Johansson E, Aviv RI, Fox AJ (2020) Atherosclerotic ICA stenosis coinciding with ICA asymmetry associated with circle of Willis variations can mimic near-occlusion. 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EJVES 63:523\u2013524. https:\/\/doi.org\/10.1016\/j.ejvs.2021.10.057","journal-title":"EJVES"}],"container-title":["Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00234-024-03283-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00234-024-03283-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00234-024-03283-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T16:22:30Z","timestamp":1708014150000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00234-024-03283-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,9]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["3283"],"URL":"https:\/\/doi.org\/10.1007\/s00234-024-03283-5","relation":{},"ISSN":["0028-3940","1432-1920"],"issn-type":[{"value":"0028-3940","type":"print"},{"value":"1432-1920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,9]]},"assertion":[{"value":"22 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no competing interests to declare that are relevant to the content of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest\/Competing interests"}},{"value":"The study was approved by the ethics review board in Ume\u00e5.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All participants provided informed consent for participation.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}